Active NPI
Amanda Kay West, LM, CPM
- Midwife
- Neptune Beach, FL
National Provider Identifier
1003403585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW395
- Practice address
- 1000 3Rd St Apt 1B
Neptune Beach, FL 32266-5046 - Phone
- (386) 983-7206
- Fax
- (904) 431-3557
- NPI assigned
- Dec 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MW395 | FL | Primary |
Addresses
Primary practice location
1000 3Rd St Apt 1B
Neptune Beach, FL 32266-5046
Mailing address
1000 3Rd St Apt 1B
Neptune Beach, FL 32266-5046
Phone (386) 983-7206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW395 | FL | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Midwives LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Birthing Clinic/Center
- Jacksonville Beach, FL
- NPI 1336859438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1003403585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 3RD ST APT 1B",
"city": "NEPTUNE BEACH",
"state": "FL",
"postal_code": "322665046",
"telephone_number": "386-983-7206",
"fax_number": "904-431-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 3RD ST APT 1B",
"city": "NEPTUNE BEACH",
"state": "FL",
"postal_code": "322665046",
"telephone_number": "386-983-7206",
"fax_number": "904-431-3557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "AMANDA",
"middle_name": "KAY",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-30",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "MW395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neptune Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.